| NPI | 1124872924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030161) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041353756) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-08-09 |